Ms Rose Mary Tanks, LISW-S,LICDC-CS,LPN is a medicare enrolled "Social Worker" provider in Cincinnati, Ohio. Her current practice location is
6012 Desmond Street, Cincinnati, Ohio. You can reach out to her office (for appointments etc.) via phone at
(513) 213-7208.
Ms Rose Mary Tanks is licensed to practice in Ohio (license number 1.0010124) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1649481540.
Healthcare Provider's Profile
| Full Name | Ms Rose Mary Tanks |
|---|
| Gender | Female |
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| Speciality | Social Worker |
|---|
| Location | 6012 Desmond Street, Cincinnati, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1649481540
- Provider Enumeration Date: 05/24/2007
- Last Update Date: 08/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 5193085835
- Enrollment ID: I20180129000903
Medical Identifiers
Medical identifiers for Ms Rose Mary Tanks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649481540 | NPI | - | NPPES |
| 3152743 | Medicaid | OH | |
| 965748 | Other | OH | OHIO PROFESSIONAL CHEMICAL DEPENDENCY BOARD |
| I.10010124 | Other | OH | OHIO FAMILY COUNSELING AND SOCIAL WORKER BOARD |
| PN.049022 MEDS | Other | OH | OHIO NURSING BOARD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 965748 (Ohio) | Secondary |
| 104100000X | Social Worker | 1.0010124 (Ohio) | Primary |
| 164W00000X | Licensed Practical Nurse | PN-049022 (Ohio) | Secondary |
| 171W00000X | Contractor | 3115042 (Ohio) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Rose Mary Tanks allows following entities to bill medicare on her behalf.
| Entity Name | Talbert House |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619900834
PECOS PAC ID: 1951314319
Enrollment ID: O20060801000414 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Rose Mary Tanks is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Rose Mary Tanks, LISW-S,LICDC-CS,LPN
6012 Desmond Street,
Cincinnati, OH 45227-1812
Ph: (513) 213-7208 | Ms Rose Mary Tanks, LISW-S,LICDC-CS,LPN
6012 Desmond Street,
Cincinnati, OH 45227-1812
Ph: (513) 213-7208 |
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